Active NPI
Laurel Health Center, Inc.
- Chiropractor
- Evergreen Park, IL
National Provider Identifier
1679746739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- LAUREL HEALTH CENTER, INC.
- Practice address
- 3348 W 95TH St
Evergreen Park, IL 60805-2236 - Phone
- (708) 422-1512
- Fax
- (708) 422-1417
- NPI assigned
- Apr 10, 2008
- Last updated
- Apr 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Li-Mei Ku, D.C.
- Title
- President
- Phone
- (708) 422-1512
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary | |
| Acupuncturist | 171100000X | IL |
Addresses
Primary practice location
3348 W 95TH St
Evergreen Park, IL 60805-2236
Mailing address
122 Hiddenview Dr
Westmont, IL 60559-2327
Phone (708) 422-1512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01630303 | Other | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Evergreen Park, IL
- NPI 1396709226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207785600000",
"number": "1679746739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 HIDDENVIEW DR",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605592327",
"telephone_number": "708-422-1512",
"fax_number": "708-422-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3348 W 95TH ST",
"city": "EVERGREEN PARK",
"state": "IL",
"postal_code": "608052236",
"telephone_number": "708-422-1512",
"fax_number": "708-422-1417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUREL HEALTH CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-10",
"last_updated": "2008-04-10",
"status": "A",
"authorized_official_last_name": "KU",
"authorized_official_first_name": "LI-MEI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-422-1512",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01630303",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evergreen Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.